Organization Active NPI

Nostrum Therapy Management Services LLC

  • Pharmacist
  • Billerica, MA
National Provider Identifier
1790170231
Registry record updated Apr 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PH234446 Issued in MA
Legal business name
NOSTRUM THERAPY MANAGEMENT SERVICES LLC
Practice address
22 Basswood Ave
Billerica, MA 01821-1604
Phone
(617) 797-4842
NPI assigned
Apr 1, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Tina U Bandekar, RPH
Title
Manager/Owner
Phone
(617) 797-4842

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X PH234446 MA Primary

Addresses

Primary practice location

22 Basswood Ave
Billerica, MA 01821-1604

Mailing address

22 Basswood Ave
Billerica, MA 01821-1604
Phone (617) 797-4842

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1427846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427846400000",
    "number": "1790170231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 BASSWOOD AVE",
            "city": "BILLERICA",
            "state": "MA",
            "postal_code": "018211604",
            "telephone_number": "617-797-4842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 BASSWOOD AVE",
            "city": "BILLERICA",
            "state": "MA",
            "postal_code": "018211604",
            "telephone_number": "617-797-4842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOSTRUM THERAPY MANAGEMENT SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-01",
        "last_updated": "2015-04-01",
        "status": "A",
        "authorized_official_last_name": "BANDEKAR",
        "authorized_official_first_name": "TINA",
        "authorized_official_middle_name": "U",
        "authorized_official_title_or_position": "MANAGER/OWNER",
        "authorized_official_telephone_number": "617-797-4842",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "MA",
            "license": "PH234446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Billerica, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.